NextLevel Health Partners MCCN Network All Facilities (Hospitals, Community Health Centers, Skilled Nursing Facilities, etc.) Community Mental Health Center (CMHC) Community Mental Health Center (CMHC) Adapt of Illinois-Columbus Park Association House of Chicago NPI Number 1811289473 System Name Adapt of Illinois Address 901 S. Austin Blvd City, State, Zip Chicago, IL 60644 Tel 773-287-5959 Fax 312-773-7909 Adapt of Illinois-Sheridan Shores NPI Number 1124076419 System Name Association House of Chicago Address 1116 N Kedzie City, State, Zip Chicago, IL 60651 Tel 773-772-7170 Fax 773-384-0560 Blue Island NPI Number 1174815732 System Name Adapt of Illinois Address 5838 N. Sheridan Road City, State, Zip Chicago, IL 60660 Tel 773-334-6242 Fax 773-769-3579 Ardent Community Wellness Center NPI Number System Name Ardent Community Wellness Center Address 3166 N. Lincoln Avenue suite 401 NPI Number 1629283411 System Name Metropolitan Family Service Address 13136 S. Western Ave. City, State, Zip Blue Island, IL 60406 Tel 708-371-5170 Fax 708-371-0466 Bobby E Wright Comprehensive Behavioral Health Center NPI Number 1588832786 System Name Bobby E Wright Comprehensive Behavioral Health Center Address 9 South Kedzie Ave City, State, Zip Chicago, il 60657 Tel 6304733091 Fax City, State, Zip Chicago, IL 60612 Tel 773-722-7900 Fax 773-722-0644 Page 1 of 23
Community Mental Health Center (CMHC) Community Mental Health Center (CMHC) Evanston/Skokie Valley Center Healthcare Alternative Systems, Inc. NPI Number 1124298666 System Name Metropolitan Family Service Address 5210 Main St. City, State, Zip Skokie, IL 60077 Tel 847-425-7500 Fax 847-676-8135 Family Service and Mental Health Center of Cicero NPI Number 1457357352 System Name Healthcare Alternative Systems, Inc. Address 5005 W. Fullerton Ave City, State, Zip Chicago, IL 60639 Tel 773-745-7107 Fax 773-745-9902 Infant Welfare Society of Chicago NPI Number 1831119767 System Name Family Service and Mental Health Center of Cicero Address 5341 W Cermak Rd City, State, Zip Cicero, IL 60804 Tel 708-656-6430 Fax 708-656-6591 Family Service Association of Greater Elgin NPI Number 1053567966 System Name Infant Welfare Society of Chicago Address 3600 W. Fullerton Avenue City, State, Zip Chicago, IL 60647 Tel 773-782-2800 Fax 773-772-9105 Kenneth Young Center - Elk Grove NPI Number 1235283441 System Name Family Service Association of Greater Elgin Address 1140 McLean Blvd Suite I City, State, Zip Elgin, IL 60123 Tel 847-695-3680 Fax 847-695-4552 Habilitative Systems, Inc NPI Number 1629083241 System Name Kenneth Young Center Address 1001 Rohlwing Road City, State, Zip Elk Grove Village, IL 60007 Tel 847-524-8800 Fax 847-524-8824 Leyden Family Service and Mental Health Center NPI Number 1972792281 System Name Habilitative Systems, Inc. Address 415 S Kilpatrick Ave City, State, Zip Chicago, IL 60644 Tel 773-261-2252 Fax 773-854-8300 NPI Number 1043304546 System Name Leyden Family Service and Mental Health Center Address 1776 Moon Lake Blvd City, State, Zip Hoffman Estates, IL 60169 Tel 847-882-4181 Fax 847-882-4299 Page 2 of 23
Community Mental Health Center (CMHC) Community Mental Health Center (CMHC) Leyden Family Service and Mental Health Center Portage Cragin NPI Number 1043308943 System Name Leyden Family Service and Mental Health Center Address 10001 Grand Ave City, State, Zip Franklin Park, IL 60131 Tel 847-451-0330 Fax 847-781-8940 Outpatient Recovery Center NPI Number 1063637684 System Name Lutheran Social Service of Illinois Address 4840 W. Byron Street City, State, Zip Chicago, IL 60641 Tel 773-282-7800 Fax 773-283-0391 Sertoma Centre NPI Number 1487963732 System Name Pilsen Wellness Center Address 2015 W Cermak Rd City, State, Zip Chicago, IL 60608 Tel 773-890-0645 Fax 773-890-1257 Pilsen Inn NPI Number 1013240423 System Name Sertoma Centre Inc Address 4331 W. Lincoln Highway City, State, Zip Matteson, IL 60443 Tel 708-748-1951 Fax 708-748-1962 Southeast Chicago Center NPI Number 1760792790 System Name Pilsen Wellness Center Address 2635 W 23rd St City, State, Zip Chicago, IL 60608 Tel 773-927-1228 Fax 773-927-0237 Pilsen Little Village CMHC NPI Number 1770900854 System Name Metropolitan Family Service Address 3062 E. 91st Street City, State, Zip Chicago, IL 60617 Tel 773-371-2900 Fax 773-371-2950 Southwest Center NPI Number 1588840045 System Name Pilsen Wellness Center Address 2319 S Damen Ave City, State, Zip Chicago, IL 60608 Tel 773-579-0832 Fax 773-579-0762 NPI Number 1992767032 System Name Metropolitan Family Service Address 10537 S. Roberts Road City, State, Zip Palos Hills, IL 60465 Tel 708-974-2300 Fax 708-974-2498 Page 3 of 23
Community Mental Health Center (CMHC) Diagnostic Radiology TASC Inc Chicago Ridge Medical Imaging NPI Number 1194150805 System Name TASC Inc Address 2320 W Roosevelt Rd City, State, Zip Chicago, IL 60608 Tel 312-738-8933 Fax 312-738-9260 Diagnostic Radiology Accurate Imaging Diagnostic Ltd NPI Number 1861491474 System Name Accurate Imaging Diagnostic Ltd Address 3525 W. Peterson Ave Suite 103 City, State, Zip Chicago, IL 60659 Tel 773-588-8378 Fax 773588839 American Xray Services NPI Number 1154556033 System Name American Xray Services Address 9914 DERBY LN Suite 109 City, State, Zip Westchester, IL 60154 Tel 708-345-6565 Fax 708-345-6595 NPI Number 1841683802 System Name Chicago Ridge Medical Imaging Address 9830 S. Ridgeland Ave Suite 4 City, State, Zip Chicago Ridge, IL 60415 Tel 708-423-1819 Fax 708-423-4788 Community Imaging NPI Number 1114078409 System Name Community Imaging Address 270 West Loop Rd City, State, Zip Wheaton, IL 60189 Tel 630-653-8464 Fax 630-653-8660 Curewell Diagnostic Services NPI Number 1053571208 System Name Curewell Diagnostic Services Address 5795 N. Elston Ave City, State, Zip Chicago, IL 60646 Tel 773-631-5900 Fax 773-631-5901 Mediquest Diagnostic Center SC NPI Number 1568419778 System Name Mediquest Diagnostic Center SC Address 3420 W. Peterson Ave City, State, Zip Chicago, IL 60659 Tel 773-604-4305 Fax 847-296-8860 Page 4 of 23
Diagnostic Radiology Diagnostic Radiology Midwest Imaging and Diagnostics Center Molecular Imaging Chicago LLC NPI Number 1902844541 System Name Midwest Imaging and Diagnostics Center Address 5702 W 95th St Suite A City, State, Zip OAK LAWN, IL 60453 Tel 708-423-9982 Fax 708-723-9984 Midwest Open MRI NPI Number 1306138920 System Name Molecular Imaging Chicago LLC Address 6525 W North Ave Suite 106 City, State, Zip Oak Park, IL 60302 Tel 708-613-4228 Fax 708-848-7001 Molecular Imaging Chicago LLC NPI Number 1225093453 System Name Midwest Open MRI Address 8415 W. Cermak Rd City, State, Zip North Riverside, IL 60546 Tel 708-443-1600 Fax 84431601 Midwest Open MRI NPI Number 1306138920 System Name Molecular Imaging Chicago LLC Address 4351 N Cicero Ave City, State, Zip Chicago, IL 60641 Tel 773-427-1222 Fax 773-427-1333 Molecular Imaging Chicago LLC NPI Number 1225093453 System Name Midwest Open MRI Address 8319 W. North Avenue City, State, Zip Melrose Park, IL 60160 Tel 708-450-9800 Fax 708-450-9975 Molecular Imaging Chicago LLC NPI Number 1306138920 System Name Molecular Imaging Chicago LLC Address 4932 W 95th St City, State, Zip Oak Lawn, IL 60453 Tel 708-499-9700 Fax 708-428-1907 Molecular Imaging Chicago LLC NPI Number 1306138920 System Name Molecular Imaging Chicago LLC Address 16137 LaSalle St City, State, Zip South Holland, IL 60473 Tel 708-825-1700 Fax 708-596-5565 NPI Number 1306138920 System Name Molecular Imaging Chicago LLC Address 1732 W Algonquin Rd City, State, Zip ARLINGTON HEIGHTS, IL 60005 Tel 847-385-2601 Fax 847-385-2602 Page 5 of 23
Diagnostic Radiology Durable Medical Equipment Molecular Imaging Chicago LLC Advanced Medical Supply Inc NPI Number 1306138920 System Name Molecular Imaging Chicago LLC Address 14315108th Ave City, State, Zip Orland Park, IL 60467 Tel 708-428-1910 Fax 708-428-1909 Molecular Imaging Chicago LLC NPI Number 1497794564 System Name Advanced Medical Supply Inc Address 3322 N MilwaukeeAve City, State, Zip Chicago, IL 60641 Tel 773-205-6993 Fax 773-205-6994 Calmed Medical Supplies and Repair NPI Number 1306138920 System Name Molecular Imaging Chicago LLC Address 230 East Ogden City, State, Zip Hinsdale, IL 60521 Tel 630-325-6300 Fax 630-214-2362 Valley Lo Imaging NPI Number 1437194164 System Name Address 18877 W. 10 Mile Rd City, State, Zip Southfield, MI 48075 Tel 248-440-6069 Fax 248-499-1942 Century Medical Supply NPI Number 1972703080 System Name Valley Lo Imaging Address 1965 Tanglewood Dr Unit F City, State, Zip Glenview, IL 60025 Tel 847-729-6749 Fax YS Diagnostic Ultrasound NPI Number 1992876171 System Name Century Medical Supply Address 6032 S Halsted Suite 104 City, State, Zip Chicago, IL 60621 Tel 773-723-6695 Fax Chyodo Medical Supplies NPI Number 1467642322 System Name YS Diagnostic Ultrasound Address 8536 Crawford Ave City, State, Zip SKOKIE, IL 60076 Tel 847-677-3158 Fax NPI Number 1154471688 System Name Address 211 East 31st Street City, State, Zip Chicago, IL 60616 Tel 773-436-9600 Fax 773-436-9611 Page 6 of 23
Durable Medical Equipment Durable Medical Equipment Doubek Medical Supply, Inc. Premier Homecare Supplies NPI Number 1477509628 System Name Address 11350 S Cicero Ave City, State, Zip Alsip, IL 60803 Tel 708-293-1122 Fax 708-293-1144 European Service at Home Inc. NPI Number 1982602207 System Name Address 8048 South Kedzie Ave City, State, Zip Chicago, IL 60652 Tel 773-776-9941 Fax 773-776-9953 Robert B Scott Ocularists NPI Number 1598798035 System Name European Service at Home Inc. Address 49 W. Slade St City, State, Zip Palatine, IL 60067 Tel 847-202-1249 Fax 847-202-3266 Home Bound Health Medical Equipment & Supplies NPI Number 1265534523 System Name Robert B Scott Ocularists Address 111 N. Wabash Ave Suite 1620 City, State, Zip Chicago, IL Tel 312-782-3558 Fax 312-372-4449 Shield Denver Health Care Center, Inc. NPI Number 1962695924 System Name Home Bound Healthcare Address 2307 W Lake St City, State, Zip Melrose Park, IL 60160 Tel 708-615-0800 Fax 708-615-0808 M & R Prescription Center NPI Number System Name Address 847 N Church Court Ste A City, State, Zip Elmhurst, IL 60126 Tel 800-675-8847 Fax 630-617-5218 Shield Healthcare NPI Number 1477665180 System Name M & R Prescription Center Address 1959 E. 71st St City, State, Zip Chicago, IL 60649 Tel Fax NPI Number 1124132154 System Name Shield Healthcare Address 747 N CHURCH RD Suite G11 City, State, Zip Elmhurst, IL 60126 Tel 630-530-3650 Fax 630-617-5218 Page 7 of 23
Durable Medical Equipment Federally Qualified Health Center (FQHC) True Care Durable Medical Equipment Aunt Martha's Roseland Community Health Center NPI Number 1407905565 System Name True Care Durable Medical Equipment Address 501 Ridge Rd City, State, Zip Homewood, IL 60430 Tel 708-747-2253 Fax 708-747-2293 Federally Qualified Health Center (FQHC) Aunt Martha's Chicago Heights Community Health Center NPI Number 1013032523 System Name Aunt Martha's Address 1536 Vincennes Ave City, State, Zip Chicago Heights, IL 60411 Tel 877-692-8686 Fax 708754051 Aunt Martha's Hazel Crest Community Health Center NPI Number 1174716823 System Name Aunt Martha's Address 17850 S. Kedzie Ave. Suite 1150 City, State, Zip Hazel Crest, IL 60429 Tel 708-335-5200 Fax 708-206-2347 NPI Number 1780932061 System Name Aunt Martha's Address 200 E. 115th St City, State, Zip Chicago, IL 60628 Tel 877-692-8686 Fax 773-468-3242 Aunt Martha's South Holland Community Health Center NPI Number 1871724369 System Name Aunt Martha's Address 52 W. 162nd St City, State, Zip South Holland, IL 60617 Tel 708-747-7100 Fax 708-596-2538 Aunt Martha's Southeast Side Community Health Center NPI Number 1811171143 System Name Aunt Martha's Address 3528 E. 118th St City, State, Zip Chicago, IL 60617 Tel 877-692-8686 Fax 773-646-3955 Beloved Community Family Wellness Center NPI Number 1144528167 System Name Beloved Community Family Wellness Center Address 6821 S. Halsted St City, State, Zip Chicago, IL 60621 Tel 708-577-5060 Fax 773-651-9268 Page 8 of 23
Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) Beloved Community Family Wellness Center - Robbins NPI Number 1114278009 System Name Beloved Community Family Wellness Center Address 3518 W. 139th St 2nd Floor City, State, Zip Robbins, IL 60472 Tel 708-577-5060 Fax 708-577-5064 Christian Community Health Center Circle Family Healthcare Network NPI Number 1326031998 System Name Circle Family Healthcare Network Address 115 N. Parkside City, State, Zip Chicago, IL 60644 Tel 773-921-9669 Fax 773-921-2609 Family Christian Health Center NPI Number 1790888238 System Name Christian Community Health Center Address 9718 S. Halsted St City, State, Zip Chicago, IL 60628 Tel 773-233-8524 Fax 773-238-4503 Christian Community Health Center - Calumet City NPI Number 1750642856 System Name Family Christian Health Center Address 31 W 155th St City, State, Zip Harvey, IL 60426 Tel 708-589-2040 Fax 708-339-3583 Friend Family Ashland NPI Number 1780857219 System Name Christian Community Health Center Address 364 Torrence Ave City, State, Zip Calumet City, IL 60409 Tel Fax Christian Community Health Center - South Holland NPI Number 1891921623 System Name Friend Family Health Center Address 4802 S. Ashland Ave. City, State, Zip Chicago, IL 60609 Tel 773-376-9400 Fax 773-376-9693 Friend Family Cottage Grove NPI Number 1912170457 System Name Christian Community Health Center Address 901 E Sibley Blvd City, State, Zip South Holland, IL 60473 Tel Fax NPI Number 1578560090 System Name Friend Family Health Center Address 800 E. 55th St. City, State, Zip Chicago, IL 60615 Tel 773-702-0660 Fax 773-702-4356 Page 9 of 23
Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) Friend Family Pulaski Near North - LOUISE LANDAU HEALTH CENTER NPI Number 1457525792 System Name Friend Family Health Center Address 5635 S. Pulaski Rd 2nd Fl. City, State, Zip Chicago, IL 60629 Tel 773-585-3900 Fax 773-585-7332 Friend Family Western NPI Number 1831170059 System Name Near North Address 800 N. Kedzie City, State, Zip Chicago, IL 60651 Tel 773-826-3450 Fax 773-826-3993 Near North - NORTH KOSTNER HEALTH CENTER NPI Number 1457330870 System Name Friend Family Health Center Address 5843 S. Western Ave. City, State, Zip Chicago, IL 60636 Tel 773-434-8600 Fax 773-434-0600 Near North - COTTAGE VIEW HEALTH CENTER NPI Number 1720404494 System Name Near North Address 1520 N. Kostner Ave City, State, Zip Chicago, IL 60651 Tel 312-216-8020 Fax 312-337-5264 Near North - REAVIS SCHOOL BASED HEALTH CENTER NPI Number 1073594297 System Name Near North Address 4829 S. Cottage Grove Ave City, State, Zip Chicago, IL 60615 Tel 312-337-1073 Fax 312-337-5264 Near North - DENNY COMMUNITY HEALTH CENTER NPI Number 1922237890 System Name Near North Address 834 E. 50th St City, State, Zip Chicago, IL 60615 Tel 773-358-6767 Fax 773-538-4999 Near North - UPTOWN COMMUNITY HEALTH CENTER NPI Number 1437312360 System Name Near North Address 30 W. Chicago City, State, Zip Chicago, IL 60610 Tel 312-926-3964 Fax 312-926-3028 NPI Number 1417156043 System Name Near North Address 4867 N. Broadway City, State, Zip Chicago, IL 60640 Tel 773-878-8098 Fax 773-878-1954 Page 10 of 23
Federally Qualified Health Center (FQHC) General Hospital Near North - WINFIELD MOODY HEALTH CENTER Holy Cross Hospital NPI Number 1821079088 System Name Near North Address 1276 N. Clybourn Ave City, State, Zip Chicago, IL 60610 Tel 312-337-1073 Fax 312-337-5264 NEAR NORTH HEALTH SERV KOMED NPI Number 1962425611 System Name Sinai Health System Address 2701 West 68th St City, State, Zip Chicago, IL 60629 Tel 773-884-9000 Fax 773-884-8001 Jackson Park Hospital NPI Number 1346221553 System Name Near North Address 4259 S BERKELEY City, State, Zip Chicago, IL 60653 Tel 773-268-7600 Fax 773-268-1480 TCA Health NPI Number 1740567312 System Name Jackson Park Hospital Address 7531 Stony Island Ave. City, State, Zip Chicago, IL 60649 Tel 773.947.7500 Fax NO MAIN FAX Loretto Hospital NPI Number 1184757353 System Name TCA Health Address 1029 E. 130th St City, State, Zip Chicago, IL 60628 Tel 773-995-6300 Fax 773-995-6179 General Hospital NPI Number 1447280284 System Name Loretto Hospital Address 645 S. Central Ave City, State, Zip Chicago, IL 60644 Tel 773-626-4300 Fax 773-854-5587 Mount Sinai Hospital NPI Number 1700028305 System Name Sinai Health System Address 1500 South California Ave City, State, Zip Chicago, IL 60608 Tel 773-257-5364 Fax NO MAIN FAX Page 11 of 23
General Hospital Home Health Northwest Community Hospital Addus Healthcare Chicago NPI Number 1770531600 System Name Northwest Community Hospital Address 800 W Central Rd City, State, Zip Arlington Heights, IL 60005 Tel 847-618-1000 Fax 847-618-5009 Norwegian-American Hospital NPI Number 1861717001 System Name Addus Healthcare Inc. Address 14 E Jackson Blvd #902 City, State, Zip Chicago, IL 60604 Tel 312-663-4647 Fax 630-487-2715 Addus Healthcare Chicago South NPI Number 1972594877 System Name Norwegian-American Hospital Address 1044 North Francisco Avenue City, State, Zip Chicago, IL 60622 Tel 773-292-8200 Fax 773-278-3531 Roseland Community Hospital NPI Number 1861717001 System Name Addus Healthcare Inc. Address 9259 S. Western Ave City, State, Zip Chicago, IL 60643 Tel 773-298-0002 Fax 773-298-0004 Addus Healthcare Hillside NPI Number 1568472819 System Name Roseland Community Hospital Address 45 West 111th St City, State, Zip Chicago, IL 60628 Tel 773-995-3000 Fax NO MAIN FAX South Shore Hospital NPI Number 1588989727 System Name Addus Healthcare Inc. Address 6817 Windsor Ave City, State, Zip Berwyn, IL 60403 Tel 708-216-1470 Fax 877-602-1374 Addus Healthcare Niles NPI Number 1861569253 System Name South Shore Hospital Address 812 S. Crandon Ave City, State, Zip Chicago, IL 60617 Tel 773-356-5000 Fax 773-768-8154 NPI Number 144757683 System Name Addus Healthcare Inc. Address 7900 Milwaukee Ave #2-21A City, State, Zip Niles, IL 60714 Tel 847-965-9269 Fax 847-659-9297 Page 12 of 23
Home Health Home Health Addus Healthcare Palos Heights Awakened Alternatives Companies NPI Number 1952626111 System Name Addus Healthcare Inc. Address 7600 College Dr City, State, Zip Palos Heights, IL 60463 Tel 708-647-0000 Fax 877-512-4313 Addus Healthcare South Cook Home NPI Number System Name Address 3235 Vollmer Road Ste 200 City, State, Zip Flossmoor, IL 60422 Tel 708-748-1520 Fax 708-406-7681 Beatrice Home Health NPI Number 1780909937 System Name Addus Healthcare Inc. Address 1800 Ridge Rd Suite 2E City, State, Zip Homewood, IL 60430 Tel 708-647-0000 Fax 855-875-0616 At Home Health Inc. NPI Number 1215946793 System Name Beatrice Home Health Address 4012 W North Ave City, State, Zip Chicago, IL 60642 Tel 773-722-6341 Fax 773-265-5991 Central Healthcare Iinc. NPI Number 1841484524 System Name At Home Health Inc. Address 344 W Peterson Ave Suite 104 City, State, Zip Chicago, IL 60659 Tel Fax Awakened Alternatives NPI Number 1861709743 System Name Central Healthcare Iinc. Address 4751 S Central Ave City, State, Zip Chicago, IL 60638 Tel 708-924-0500 Fax 705-924-0501 Classic Care Health Services, Inc. NPI Number 1811926736 System Name Awakened Alternatives Address 3235 Vollmer Rd Suite 200 City, State, Zip Flossmor, IL Tel 708-748-1520 Fax 708-406-7681 NPI Number System Name Address 3651 West 183rd St City, State, Zip Hazel Crest, IL 60429 Tel 708-799-6944 Fax 708-799-2438 Page 13 of 23
Home Health Home Health Comprehensive Quality Care Inc. Kingsway Home Health Services NPI Number 1508805938 System Name Comprehensive Quality Care Inc. Address 3715 S. King Dr City, State, Zip Chicago, IL 60428 Tel 773-924-5900 Fax 773-924-5933 Great Paragon Health Care Inc. NPI Number 1518110840 System Name Kingsway Home Health Services Inc Address 7115 N. Ridge Blvd City, State, Zip Chicago, IL Tel 773-761-8342 Fax 773-761-3388 Physicians Preferred Home Care NPI Number 1538170345 System Name Great Paragon Health Care Inc. Address 2640 W Touhy Ave STE 205-206 City, State, Zip Chicago, IL 60645 Tel 773-973-1753 Fax 773-274-9082 Hellenic Foundation NPI Number 1033421482 System Name Hellenic Foundation Address 6251 W. Touhy Ave. City, State, Zip Chicago, IL, IL 60646 Tel 773-631-5222 Fax 773-631-2835 Home Bound Health NPI Number 1255581203 System Name Physicians Preferred Home Care Inc Address 9732 Southwest Hwy City, State, Zip Oaklawn, IL Laboratories Tel 708-422-1200 Fax 708-422-1203 LABORATORY CORPORATION OF AMERICA HOLDINGS NPI Number 1851434971 System Name LABORATORY CORPORATION OF AMERICA HOLDINGS Address 1634 W POLK ST City, State, Zip CHICAGO, IL 60612 Tel 312-423-4200 Fax 312-423-4385 NPI Number 1710958533 System Name Home Bound Healthcare Address 1615 Vollmer Rd City, State, Zip Flossmor, IL 60422 Tel 708-798-0800 Fax 708-798-0801 Page 14 of 23
Laboratories Laboratories LABORATORY CORPORATION OF AMERICA HOLDINGS NPI Number 1376688937 System Name LABORATORY CORPORATION OF AMERICA HOLDINGS Address 7447 W TALCOTT AVE City, State, Zip CHICAGO, IL 60631 Tel 773-775-1426 Fax Quest Diagnostics Quest Diagnostics NPI Number 1295910800 System Name QUEST DIAGNOSTICS LLC IL Address 8915 W GOLF RD City, State, Zip NILES, IL 60714 Tel 847-297-2342 Fax 847298226 Quest Diagnostics NPI Number 1093080376 System Name QUEST DIAGNOSTICS LLC IL Address 1632 W CENTRAL RD City, State, Zip ARLINGTON HEIGHTS, IL 60005 Tel 847-242-0344 Fax 847-342-0204 Quest Diagnostics NPI Number 1821284373 System Name QUEST DIAGNOSTICS LLC IL Address 4747 W PETERSON AVE Suite 204 City, State, Zip CHICAGO, IL 60646 Tel 773-777-0154 Fax 773-777-0489 Quest Diagnostics NPI Number 1346389764 System Name QUEST DIAGNOSTICS LLC IL Address 506 E STATE PKWY City, State, Zip SCHAUMBURG, IL 60173 Tel 847-885-2010 Fax 847-885-5588 Quest Diagnostics NPI Number 1578581526 System Name QUEST DIAGNOSTICS LLC IL Address 3633 W LAKE AVE Suite 201 City, State, Zip GLENVIEW, IL 60025 Tel 800-377-8448 Fax Long Term Acute Care Hospital NPI Number 1912925975 System Name QUEST DIAGNOSTICS LLC IL Address 17130 TORRENCE AVE Suite 420 City, State, Zip LANSING, IL 60438 Tel 708-474-8323 Fax 708-474-8378 Page 15 of 23
Long Term Acute Care Hospital Orthotics and Prosthetics RML Chicago Clear Sounds NPI Number 1508186735 System Name RML Health Providers Limited Partnership Address 3435 West Van Buren Street City, State, Zip Chicago, IL 60624 Tel 773-826-6300 Fax NO MAIN FAX Occupational Therapy Helping Hand Center NPI Number 1356560890 System Name Helping Hand Center Address 9649 W. 55th Street City, State, Zip Countryside, IL 60525 Tel 708-352-3580 Fax 708-352-2715 Orthotics and Prosthetics Ballert Orthopedic NPI Number System Name Address 2434 W Peterson Ave City, State, Zip Chicago, IL 60659 Tel 773-878-2445 Fax 773-508-6699 NPI Number 1063630804 System Name Clear Sounds Address 4551 Oakton St City, State, Zip Skokie, IL 60076 Tel 847-679-4626 Fax 847-679-4632 Robert B Scott Ocularists NPI Number 1265534523 System Name Robert B Scott Ocularists Address 111 N. Wabash Ave Suite 1620 City, State, Zip Chicago, IL 60602 Tel 312-782-3558 Fax 312-372-4449 Outpatient Infusion Pri-Med Infusion Services NPI Number 1891761466 System Name Pri-Med Infusion Services Address 5517 N. Cumberland Ave Suite 915 City, State, Zip Chicago, IL 60656 Tel 773-467-6000 Fax 773-467-6001 Pediatric Hospital Page 16 of 23
Pediatric Hospital Psychiatric Hospital La Rabida Children's Hospital Garfield Park Behavioral Hospital NPI Number 1427146430 System Name La Rabida Children's Hospital Address 6501 S. Promontory Drive City, State, Zip Chicago, IL 60649 Tel 773-363-6700 Fax 773-363-7160 Physcial Therapy Helping Hand Center NPI Number 1356560890 System Name Helping Hand Center Address 9649 W. 55th Street City, State, Zip Countryside, IL 60525 Tel 708-352-3580 Fax 708-352-2715 Psychiatric Hospital Aurora Chicago Lakeshore Hospital NPI Number 1659338168 System Name Aurora Chicago Lakeshore Hospital LLC Address 4840 N. Marine Drive City, State, Zip Chicago, IL 60640 Tel 773-878-9700 Fax 773-907-4607 NPI Number 1972843704 System Name Garfield Park Behavioral Hospital LLC Address 520 N Ridgeway Ave City, State, Zip Chicago, IL 60624 Tel 773-265-3700 Fax 773-265-4305 Hartgrove Hospital NPI Number 1538560339 System Name United Hospital Services Address 5730 West Roosevelt Road City, State, Zip Chicago, IL 60644 Tel 773-413-1700 Fax 773-413-1805 Pilsen Psychiatric Clinic & Associates LLC NPI Number 1851645964 System Name Address 3350 S Kedzie Ave City, State, Zip Chicago, IL 60623 Tel 312-738-3355 Fax 312-564-5252 Rehabilitative Hospital Page 17 of 23
Rehabilitative Hospital Skilled Nursing Facility Schwab Rehabilitation Hospital APERION CARE FOREST PARK NPI Number 1376715896 System Name Sinai Health System Address 1401 S. California Ave City, State, Zip Chicago, IL 60608 Tel 773-522-6484 Fax 773-522-6490 Skilled Nursing Facility APERION CARE Burbank NPI Number 1164560363 System Name Aperion Care Address 5701 W. 79th Street City, State, Zip Burbank, IL 60459 Tel 708-499-5400 Fax 708499472 APERION CARE CHICAGO HEIGHTS NPI Number 1770748899 System Name Aperion Care Address 490 W 16TH PL City, State, Zip CHICAGO, IL 60411 Tel 708-481-4444 Fax 708-481-4606 NPI Number 1770764037 System Name Aperion Care Address 8200 W ROOSEVELT RD City, State, Zip FOREST PARK, IL 60130 Tel 708-488-9850 Fax 708-488-9870 APERION CARE INTERNATIONAL NPI Number 1619121506 System Name Aperion Care Address 4815 S WESTERN BLVD City, State, Zip CHICAGO, IL 60609 Tel 773-927-4200 Fax 773-927-8742 APERION CARE MIDLOTHIAN NPI Number 1831376615 System Name Aperion Care Address 3249 W 147TH ST City, State, Zip MIDLOTHIAN, IL 60445 Tel 708-389-3141 Fax 708-396-1626 APERION CARE OAK LAWN NPI Number 1275774143 System Name Aperion Care Address 9401 S RIDGELAND AVE City, State, Zip OAK LAWN, IL 60453 Tel 708-599-6700 Fax 708-599-6258 Page 18 of 23
Skilled Nursing Facility Skilled Nursing Facility APERION CARE Plum Grove California Gardens Nursing and Rehab NPI Number 1255573077 System Name Aperion Care Address 24 S. Plum Grove City, State, Zip Palatine, IL 60067 Tel 847-358-0311 Fax 847-358-8875 Balmoral Nursing Home NPI Number 1700957925 System Name California Gardens Corp Address 2829 S. California Blvd. City, State, Zip Chicago, IL 60608 Tel 773-847-8061 Fax 773-847-1603 Central Nursing Home LLC NPI Number 1730183203 System Name RREM INC Address 2055 Balmoral Ave City, State, Zip Chicago, IL 60625 Tel 773-561-8661 Fax 773-561-7592 Brentwood Sub-Acute Healthcare Center NPI Number 1205222379 System Name RREM INC Address 2450 N Central Ave City, State, Zip Chicago, IL 60639 Tel 773-889-1333 Fax 773-889-1516 Chicago Ridge Nursing and Rehab NPI Number 1720416787 System Name Sava Senior Care Address 5400 W 87th St City, State, Zip Burbank, IL 60459 Tel 708-423-1200 Fax 708-423-8405 Brightview Healthcare & Rehabilitation Center NPI Number 1285630723 System Name RREM INC Address 10602 SW Highway City, State, Zip Chicago Ridge, IL 60415 Tel 708-448-1540 Fax 708-448-0118 Evanston Nursing and Rehab LLC NPI Number 1750450318 System Name Brightview Care Center Inc. Address 4538 N Beacon St City, State, Zip Chicago, IL 60640 Tel 773-275-7200 Fax 773-275-7543 NPI Number 1679779110 System Name Aperion Care Address 1300 Oak Ave City, State, Zip Evanston, IL 60201 Tel 847-869-1300 Fax 847-869-8801 Page 19 of 23
Skilled Nursing Facility Skilled Nursing Facility Forest Villa Nursing and Rehab ManorCare of Elk Grove Village NPI Number 1649341421 System Name Friend Family Health Center Address 6840 W. Touhy Ave. City, State, Zip Niles, IL 60714 Tel 847-647-6400 Fax 847-647-1539 Imperial of Lincoln Park NPI Number 1073550570 System Name ManorCare Health Services LLC Address 1920 Nerge Rd City, State, Zip Elk Grove Village, IL 60007 Tel 847-301-0550 Fax 847-301-0013 ManorCare of Homewood NPI Number 1245618016 System Name Symphony Lincoln Park LLC. Address 1366 W. Fullerton Ave. City, State, Zip Chicago, IL 60614 Tel 773-248-9300 Fax 773-935-0036 Jackson Square Skilled Nursing & Living Center NPI Number 1063459782 System Name ManorCare Health Services LLC Address 940 Maple Ave City, State, Zip Homewood, IL 60430 Tel 708-799-0244 Fax 708-799-1505 ManorCare of Northbrook NPI Number 1578941340 System Name Symphony Jackson Square LLC. Address 5130 W. Jackson Blvd. City, State, Zip Chicago, IL 60644 Tel 773-921-8000 Fax 773-287-9302 ManorCare at Arlington Heights NPI Number 1225075823 System Name ManorCare Health Services LLC Address 3300 Milwaukee Ave City, State, Zip Northbrook, IL 60062 Tel 847-795-9700 Fax 847-795-9600 ManorCare of Oak Lawn East NPI Number 1467490383 System Name ManorCare Health Services LLC Address 715 W Central Rd City, State, Zip Arlington Heights, IL 60005 Tel 847-392-2020 Fax 847-392-0174 NPI Number 1174560528 System Name ManorCare Health Services LLC Address 9401 S Kostner Ave City, State, Zip Oak Lawn, IL 60453 Tel 708-423-7882 Fax 708-423-7947 Page 20 of 23
Skilled Nursing Facility Skilled Nursing Facility ManorCare of Oak Lawn West ManorCare of South Holland NPI Number 1437192879 System Name ManorCare Health Services LLC Address 6300 W 95th St City, State, Zip Oak Lawn, IL 60453 Tel 708-599-8800 Fax 708-599-8820 ManorCare of Palos Heights East NPI Number 1891733812 System Name ManorCare Health Services LLC Address 2145 E 170th St City, State, Zip South Holland, IL 60473 Tel 708-895-3255 Fax 708-895-8428 Mayfield Healthcare and Rehabilitation Center NPI Number 1649213539 System Name ManorCare Health Services LLC Address 2850 W College Dr City, State, Zip Palos Heights, IL 60463 Tel 708-361-6990 Fax 708-361-7697 ManorCare of Palos Heights West NPI Number 1780753269 System Name Mayfield Care Center Address 5905 W Washington City, State, Zip Chicago, IL 60644 Tel 773-261-7074 Fax 773-261-1628 Symphony Crestwood NPI Number 1134167505 System Name ManorCare Health Services LLC Address 11860 Southwest Highway City, State, Zip Palos Heights, IL 60463 Tel 708-361-4555 Fax 708-361-3777 ManorCare of Rolling Meadows NPI Number 1669749917 System Name Symphony Crestwood, LLC Address 14255 S. Cicero Avenue City, State, Zip Crestwood, IL 60644 Tel 708-371-0400 Fax 708-371-5871 Symphony of Beverly NPI Number 1700824174 System Name ManorCare Health Services LLC Address 4225 Kirchoff Rd City, State, Zip Rolling Meadows, IL 60008 Tel 847-397-2400 Fax 847-397-2414 NPI Number 1215315999 System Name Symphony Beverly LLC. Address 2940 W. 87th Street City, State, Zip Chicago, IL 60652 Tel 773-434-8787 Fax 773-434-8717 Page 21 of 23
Skilled Nursing Facility Skilled Nursing Facility Symphony of Bronzeville Park Symphony of South Shore NPI Number 1770961534 System Name Symphony Bronzeville Park, LLC. Address 3400 S. Indiana Ave. City, State, Zip Chicago, IL 60616 Tel 312-842-5000 Fax 312842509 Symphony of Evanston NPI Number 1306224076 System Name Symphony South Shore, LLC. Address 2425 E. 71st St. City, State, Zip Chicago, IL 60649 Tel 773-721-5000 Fax 773-721-6850 Symphony Park South NPI Number 1093119471 System Name Symphony Evanston Healthcare, LLC Address 820 Foster Ave. City, State, Zip Evanston, IL 60201 Tel 847-492-7700 Fax 847-327-0356 Symphony of Hanover Park NPI Number 1881072551 System Name Symphony Park South LLC. Address 10935 S. Halsted St. City, State, Zip Chicago, IL 60628 Tel 773-928-2000 Fax 773-928-9154 Westchester Health and Rehabilitation Center NPI Number 1356729123 System Name Symphony Hanover Park LLC. Address 2000 W. Lake Street City, State, Zip Hanover Park, IL 60133 Tel 630-823-5300 Fax 630-823-5454 Symphony of Midway NPI Number 1578684270 System Name Sava Senior Care Address 2901 S. Wolf Rd City, State, Zip Westchester, IL 60154 Tel 708-531-1441 Fax 708-409-1271 Winston Manor Nursing Home NPI Number 1912385683 System Name Symphony Midway LLC. Address 4437 S. Cicero Ave. City, State, Zip Chicago, IL 60632 Tel 773-884-0484 Fax 773-884-0484 NPI Number 1497759914 System Name RREM INC Address 2155 W. Pierce City, State, Zip Chicago, IL 60622 Tel 773-252-2066 Fax 773-252-4122 Page 22 of 23
Speech Therapy BNM Professional Consulting NPI Number 1790795805 System Name BNM Professional Counsuling Address 4747 W. LINCOLN MALL DR. Suite 302 City, State, Zip MATTESON, IL 60443 Tel 708-679-0680 Fax 708-679-0683 Helping Hand Center NPI Number 1356560890 System Name Helping Hand Center Address 9649 W. 55th Street City, State, Zip Countryside, IL 60525 Tel 708-352-3580 Fax 708-352-2715 Page 23 of 23